摘要
目的探讨纤维乳管镜(FDS)在病理性乳头溢液诊疗方面的应用价值。方法回顾性分析2010年4月至2013年7月于中国医科大学附属第四医院因乳头溢液行FDS检查的652例病人。对病人基本资料、影像学检查、治疗方法、手术结果及病理学报告进行综合分析。结果 652例病人中FDS诊断为单纯乳管炎410例,乳管扩张症合并乳管炎95例,乳管内乳头状瘤147例。147例乳管内乳头状瘤病人进行手术治疗,其中进行FDS定位组与常规组相比,手术切口小,手术时间差异无统计学意义。所有病人在6~20个月随访期间内疗效满意。结论FDS诊断病理性乳头溢液直观、可靠,与病理诊断一致率高。FDS辅助治疗乳管炎疗效满意。FDS辅助定位下行乳管切除术简便、定位准确、手术范围小、美容效果佳。
Objective To evaluate the clinical value of fiberoptic ductoscopy(FDS) in diagnosis and treatment ofpatients with pathologic nipple discharge(PNG).MethodsThis retrospective reviewed of all the patients whounderwent FDS for pathologic nipple discharge in our institution from April 2010 through July 2013. The examinationresults and pathological examination results, efficacy of treatments were evaluated.ResultsOf all the 652 cases, thesewere 410 cases of galactophoritis, 95 cases of intraductal dilatation with galactophoritis and 147 cases of single breastintraducal papilloma. The 147 patients with single breast intraducal papilloma were received surgery. Among the cases,74 patients were resected under the localization and guidance of FDS and the others not. There were significantdifferences between the two groups in operation incision length, the dimension of resected specimens and pathologicaldetection rate(P<0.05). But no significant difference was observed in operation time between them are more or less(P>0.05). For all the patients, there was not seen any operative complications.ConclusionFDS is an effective, noninvasiveand reliable methods for diagnosing and treating PND. With the help of FDS, the breast intraductal papilloma resectionsurgery could be more convenient and accurate. Moreover small operative incision results in good cosmetic outcome.
出处
《中国实用外科杂志》
CSCD
北大核心
2014年第S1期15-16,24,共3页
Chinese Journal of Practical Surgery
关键词
纤维乳管镜
乳头溢液
乳管内乳头状瘤
fiberroptic ductoscopy
nipple discharge
breast intraductal papilloma
